Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $56.29 / $204.02	Facility		$18.39	$56.29	$204.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $16.04 / $22.01	Professional		$13.66	$16.04	$22.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $11.03 / $12.78	Professional		$5.52	$11.03	$12.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $134.30 / $303.10 / $654.50	Facility		$134.30	$303.10	$654.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $25.38 / $39.81	Professional		$10.11	$25.38	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $40.42 / $84.27	Facility		$12.85	$40.42	$84.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $18.59 / $33.49	Professional		$12.01	$18.59	$33.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.85 / $18.39	Professional		$8.46	$10.85	$18.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $13,785.00 / $13,785.00	Facility		$12.87	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $17.66	Professional		$12.87	$12.87	$17.66
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $11.03 / $25.70	Professional		$7.12	$11.03	$25.70